G326(P) Staff satisfaction of a newly implemented paediatric procedural sedation service in a paediatric emergency department. (May 2019)

• Record Type: Journal Article
• Authors: Yoshida, R; Hall, D; Mitchell, R
• Is Part Of: Archives of disease in childhood. Volume 104:Supplement 2(2019)
• Page Start: A133
• Page End: A134
• Publication Date: 2019-05
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2019-rcpch.317
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Background: Paediatric procedural sedation (PPS) has been recently introduced into our paediatric emergency department (PED) to facilitate painful procedures such as fracture reduction and laceration repair. We appraised staff satisfaction as part of an evaluation of PPS in PED. There is limited current data regarding PPS staff evaluation described in the literature. Methods: Participants included staff from PED and specialty teams. We aimed to identify benefits of PPS and barriers to establishing it as common practice. Anonymised written responses were recorded using 11-point Likert scales and open-answer free-text questions. Results: 46 multidisciplinary professionals participated in the study (table 1 ). Mean satisfaction scores demonstrated that staff feel PPS is efficient, offers a good alternative to general anaesthesia and provides a good service for patients (table 2 ). Other benefits identified included reduced hospital stay and increased patient safety. Three themes emerged regarding barriers to the provision of PPS: lack of training (57%); inadequate staffing (48%) and other clinical demands within the department (15%). Suggestions to improve the ability to provide PPS included increased training and introduction of a PED sedation list. Conclusion: Staff satisfaction is an important and often overlooked factor in implementing a safe and effective new service. Our study showed that staff views on PPS are largely positive, in keeping with the growing recognition of the value of PPS nationally. Barriers identified mirrored themes found in a recent qualitative study in the UK and Ireland, confirming the need for further review and training on a national level. In the interim we have developed and rolled out multidisciplinary PPS simulation training. Next steps include evaluation of patient and parental satisfaction after PPS to ensure the service we provide meets their needs.